Trevor Baker Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

TREVOR BAKER PHYSICAL THERAPY

Doing business as

Baker Mobile Therapy

Practice address

3463 E 3890 N
Kimberly, ID 83341-5508

Phone

(208) 644-0693

NPI assigned

Sep 4, 2020

Last updated

Apr 17, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Trevor John Baker, PT, DPT, GCSNPI 1912496753

Title

Owner/Physical Therapist

Phone

(385) 330-1595

Specialties & licenses 7

Addresses

Other names 1

• Baker Mobile Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in ID, UT2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trevor John Baker, PT, DPT, GCS

  • Physical Therapist
  • Kimberly, ID
  • NPI 1912496753

  UT

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1235743436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951111",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840951111",
            "telephone_number": "385-330-1595",
            "fax_number": "385-257-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3463 E 3890 N",
            "city": "KIMBERLY",
            "state": "ID",
            "postal_code": "833415508",
            "telephone_number": "208-644-0693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10102 S Redwood Rd Unit 951111",
            "address_purpose": "LOCATION",
            "city": "South Jordan",
            "state": "UT",
            "postal_code": "840956646",
            "country_code": "US",
            "telephone_number": "385-330-1595",
            "fax_number": "385-257-2257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TREVOR BAKER PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "385-330-1595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, GCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251C2600X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baker Mobile Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baker Mobile Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Travis Trent Shepherd, DMD
• Julie Becca Sirucek
• Michelle M Smith, DPT, PT
• Mary Ann Stanger, N. D
• Patricia Sutherland
• Laura Ann Vriesman, IS
• Reagan Ronald Ward, DPT
• Weston Frandsen LLC
• Kara Marie Wheeler, FNP
• Shannon Widmier, D.D. S. P.A.

• Physical Therapy Clinic/Center in Kimberly, ID
• Providers in Kimberly, ID by specialty
• Physical Therapy Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.